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Diseases of the nasal septum Epistaxis Turbinate hypertrophy Nasal operations SAMI ALHARETHY ASSIS. PROF. CONSULTANT
Diseases of the nasal septumDeviated nasal septum Septal hematoma and abscess Perforated septum
DEVIATED NASAL SEPTUM
Etiology Trauma Maldevelopment
Symptoms Nasal obstruction
Symptoms Nasal obstruction External deformity Crusting, epistaxis
Radiology Unnecessary in most cases
Treatment No treatment Septoplasty
Complications of SeptoplastySeptal hematoma & abscess Septal perforation Nasal deformity Synechia (adhesion)
HEMATOMA OF THE SEPTUM
Etiology Direct trauma Operative trauma Blood dyscrasias
Complications Cartilage necrosis Septal abscessPermanent thickening of the septum
Treatment Incision and drainage Systemic antibiotics
PERFORATION OF SEPTUM
Clinical features Asymptomatic Crusting Epistaxis Whistling
Treatment No treatment Nasal wash Surgical closure
Surgical Reduction of the Inferior TurbinatesTurbinate resection, total or partial Outfracturing of the inferior turbinate Destructive procedures, including electrocautery, cryosurgery, laser surgery, and submucous resection
Why bleeding from the nose ?Vascular organ secondary to incredible heating/humidification requirements Vasculature runs just under mucosa Arterial to venous anastamoses ICA and ECA blood flow
SITES Anterior ( Little’s area)Posterior (vicinity of sphenopalatine foramen)
Kesselbach’s Plexus/Little’s Area:Anterior Ethmoid (Opth) Superior Labial A (Facial) Sphenopalatine A (IMAX) Greater Palatine (IMAX) Woodruff’s Plexus: -Sphenopalatine A (IMAX)
LOCAL CAUSES Acute trauma Chronic trauma Deviated septumInflammation of the nose and sinuses Tumors Idiopathic
SYSTEMIC CAUSES Coagulation and bleeding diseases AtherosclerosisFamilial hemorrhagic telangiectasia
MANAGEMENT General measures Stop the bleeding Prevent further bleeding
CONTROL THE BLEEDING Digital pressure Cautery Anterior nasal packingPostnasal pack Arterial ligation Maxillary, Ethmoids, External carotid Arterial embolization
Anterior nasal packing
ANGIOFIBROMA Juvenile nasopharengeal Benign Adolcent MalesFrequent chronic epistaxis Nasal obstruction Rhinorrhea Conductive hearing loss Diplopia Otitis Media Treatment: embolization & Surgery
What do you think? 25 years old man post RTA with fever and nasal obstruction. What is your diagnosis? What is your management?
What is this radiological study? What is A,B and C?
This is a CT scan of a newborne who presented with respiratorydistress. A- what is your diagnosis? B- what is the management?
Epistaxis Dr. Vishal Sharma.
Surgical Treatment of Sinusitis
Nose and paranasal sinuses
DNS ITS MANAGEMENT AND COMPLICATIONS
Deviated Nasal Septum Dr. Vishal Sharma.
Niyada. Prevention Avoid dangerous cases : revision, massive diseases, bleeding tendency Pre op. CT scan, CT aid ESS Pre op. preparation Intra op. observation.
Anatomy of Nose and Paranasal Sinus
Very common Usually self limiting Rarely massive bleeding can be fatal.
KAU Rabigh Medical School
Nasal Cavity & Paranasal sinuses
St Mary’s Hospital ENT Department Founded by Joseph Toynbee in 1851 Rhinology Teaching Topics for Mary’s Medics Steve Lewis 2003/4.
Nose & Para nasal sinuses
بسم الله الرحمن الرحيم.
Management of Epistaxis The Goal is Control Tracey W. Childers, DO Otolaryngology - Board Certified Tahlequah, OK.
Nasal and sinus disease Babak saedi M.D Assistant professor of Tehran university.
Kristina Fatima Louise P. Garcia Group 5A1
The Nose Vibrissae Naris Apex (tip) Root Ala Dorsum
Anatomy of the Nose.
4/99 Raza M. Jafri, FRCS 1 EPISTAXIS Don Hudson, D.O., FACEP/ACOEP Reviewed & Presented for training.
WINDSOR UNIVERSITY SCHOOL OF MEDICINE
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